Late Enrollment Appeal

Due: Monday, October 7, 2019 It is the student’s responsibility to obtain all signatures and
submit form by due date.
Pay a $20 processing fee at the State Cashier’s Office before
submitting this appeal.

For ENGR courses, ENGR Advising signs for Dean.

Student Information

Levine Ross
Last Name   First Name 
0 1 2 4 9 6 3 2 4 4242375878 Manufacturing Engineering
Student EMPL ID (9 digits)   Phone   Major 

Request

This is my senior project class and I never received a permission number. If I

Justification for late enrollment request 
can't add this class I will not be able to graduate on time.

IME 481-06
Lecture Course and Section (ex. Engl 134-01)   Class number (ex. 1234) 
Fall/2019 2 W 6:10-7:00
Term/Year   Units   Class dates and times (ex. MWF 9:10- 10:00) 
IME 481-04 (Lab)
Co-req Course and Section   Class number 
IME 481-06 Lecture W 3:10-6:00
Term/Year   Units   Class dates and times 

Student Signature   Date 

Additional Signatures

Note: Approval overrides permissions, prerequisites, enrollment/class capacity, and may result in student enrollment exceeding

22 unit maximum.

Instructor Printed Name 

Signature   Date 

Lab/Act instructor Printed Name 

Signature   Date 

Dean Offering Course Printed Name 

Signature   Date 

 APPROVED   DENIED

Revised 10.01.19
Office of the Registrar 1 Grand Ave. San Luis Obispo, CA 93407-0033
TEL: 805-756-2396 FAX: 805-756-7237 www.registrar.calpoly.edu LATEENROLL
 If Time Conflict: Complete This Section (see below)

Justification for late enrollment request 

Lecture Course and Section   Class number   Term/Year 

Units   Class dates and times 

IME 481-04 (Lab) IME 481-06 Lecture
Co-req Course and Section   Class number   Term/Year 
W 3:10-6:00
Units   Class dates and times 

Additional Signatures for Time Conflict

Instructor Printed Name 

Signature   Date 

Lab/Act instructor Printed Name 

Signature   Date 

Dean Offering Course Printed Name 

Dean Offering Course Signature   Date 

 APPROVED   DENIED

Approved Reasons for Allowing Class Time Conflict

Enrollment in music ensemble courses (examples from the 2015-17 catalog include MU 170 and MU 370).
Courses that do not meet at their regularly scheduled times (e.g. senior project courses, POLS 111, SCM 150).
Students who have registered for a course with a lecture/laboratory combination, but who have already passed the laboratory
component of the course (so-called “ghost labs”) and have a time conflict with the scheduled laboratory time.
Students who have registered for a course with a lecture/laboratory combination and have a time conflict with the schedule
laboratory time, but who can complete the laboratory component with another section of the course.
Undergraduate students who are within three quarters of graduation and must enroll in the course to be able to graduate by
their expected graduation term.
Graduate students who are within three quarters of graduation and must enroll in the course to be able to graduate by their
expected graduation term.

Office of the Registrar 1 Grand Ave. San Luis Obispo, CA 93407-0033

TEL: 805-756-2396 FAX: 805-756-7237 www.registrar.calpoly.edu